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Albuterol & Sodium bicarbonate
Medication for COPD
Terms in this set (18)
Expected Pharmacological action of albuterol
It is a beta2 adrenergic agonist which act by selectively activating the beta2 receptors in the bronchial smooth muscle resulting in bronchodilation.
Therapeutic use of albuterol
Inhaled, short-acting prevention of asthma episode
Inhaled, short-acting treatment for bronchospasm and asthma
Oral, long-acting, long-term control of asthma
Complications of albuterol
It can cause tachycardia and angina due to activation of alpha1 receptors in the heart
Medication administration of albuterol
Place the open end of the mouthpiece into your mouth. Close your lips tightly around the mouthpiece. Breathe in slowly and deeply through the mouthpiece. At the same time, press down once on the container to spray the medication into your mouth. Try to hold your breath for 10 seconds
Pregnancy risk Category C
Contraindicated in clients who have tachydysrhythmia
Use cautiously in clients who have diabetes mellitus, hyperthyroidism, heart disease, hypertension, and angina.
Interactions of albuterol
Two beta-adrenergic blockers should not be used concurrently
Evaluation effectiveness of albuterol
Resolution of asthma exacerbations as evidenced by absence of shortness of breath, clear breath sounds, absence of wheezing, and return of respiratory rate to baseline
Nursing intervention for albuterol
Nursing assessment should include listening to lung sounds, obtaining blood pressure, and heart rate prior to use and during use of albuterol. If a patient has a productive cough, it's important to assess amount, color, and consistency of sputum.
Client education on albuterol
Observe for chest, jaw, or arm pain or palpitations, and notify the provider if they occur.
Check pulse and report an increase of greater than 20 to 30/min.
Do not exceed prescribed dosage
Notify the provider if there is an increase in the frequency and intensity of asthma exacerbations.
Pharmacological action of sodium bicarbonate
Neutralize or reduce the acidity of gastric acid.
Mucosal protection can occur from stimulation of the production of prostaglandins.
Therapeutic use of sodium bicarbonate
Treatment of peptic ulcer disease
Prevention of stress-induced ulcers
Relief of the manifestation of GERD.
Complication of sodium bicarbonate
Sodium bicarbonate can result in fluid retention
Contraindication/precautions of sodium bicarbonate
Sodium bicarbonate shoot be used with caution in clients who have GI perforation or obstruction.
Use cautiously in clients who have abdominal pain.
Interactions of sodium bicarbonate
Sodium carbonate can decrease the absorption several medications including famotidine and cimetidine.
Client education of sodium bicarbonate
Do not take other medications within 1 to 2 hr of taking aluminum compounds without provider approval
Evaluation of medication effectiveness of sodium bicarbonate
Increase in urinary Ph
Clinical improvement of acidosis
Decrease in gastric discomfort
Nursing intervention of sodium bicarbonate
Assess the client's fluid balance throughout the therapy. This assessment includes intake and output, daily weight, edema and lung sounds.
Symptoms of fluid overload should be reported such as hypertension, edema, difficulty breathing or dyspnea, rales or crackles and frothy sputum.
Sigs of acidosis should be assessed such as disorientation, headache, weakness, dyspnea and hyperventilation.
Medication administration for sodium bicarbonate
Take the medication as directed by your doctor.
Some tablets should be dissolved in a glass of water before swallowing. Other tablets may be swallowed whole or dissolved in water before swallowing
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